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Connecticut rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $102.33 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $97.72
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $13.18 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $93.33 / $134.90